single operator percutaneous balloon mitral valvotomy with ...summitmd.com/pdf/pdf/12_sanjay...
TRANSCRIPT
![Page 1: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/1.jpg)
Dr Sanjay Rajdev, DM, FACCSevenHills Hospital, Mumbai
Single Operator Percutaneous Balloon Mitral Valvotomy with Device Closure of Atrial Septal Defect in a Case of Lutembacher
Syndrome under Trans-esophageal Guidance
![Page 2: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/2.jpg)
Case History
1. 18 year old mother of one presented with shortness of breath on exertion along with palpitation of 2 years duration
2. Her first pregnancy and delivery at age 16 was uneventful, she noticed mild worsening of breathlessness for which she received diuretics
3. She wanted to conceive again and complete her family
![Page 3: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/3.jpg)
Labs
1. Clinical Exam was remarkable for ESM grade III/VI at LLSB
2. S1 mildly accentuated, diastolic murmur could be auscultated in TA
3. S2 was perceived splitting widely
4. ECG: Inferior axis
5. Echo: RHD, Significant MS (MVA 1.1 cm2), Large ASD 22 mm with L R shunt
DIAGNOSIS: LUTEMBACHER SYNDROME
![Page 4: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/4.jpg)
First Stage in Percutaneous Rx: BMV
![Page 5: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/5.jpg)
Second Stage: ASD Device Closure
![Page 6: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/6.jpg)
Device in Released Position
![Page 7: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/7.jpg)
Post procedure TTE Images
![Page 8: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/8.jpg)
Post procedure TEE Images
• Short Axis
Modified short axis
![Page 9: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/9.jpg)
Post procedure TEE Images
SVC –IVC View
![Page 10: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/10.jpg)
![Page 11: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/11.jpg)
![Page 12: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/12.jpg)
![Page 13: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/13.jpg)
![Page 14: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/14.jpg)
![Page 15: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/15.jpg)
![Page 16: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/16.jpg)
![Page 17: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/17.jpg)
![Page 18: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/18.jpg)
![Page 19: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/19.jpg)
![Page 20: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/20.jpg)
![Page 21: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/21.jpg)
![Page 22: Single Operator Percutaneous Balloon Mitral Valvotomy with ...summitmd.com/pdf/pdf/12_Sanjay Rajdev.pdf1. Lutembacher Syndrome is an uncommon clinical condition. 2. For selected individuals](https://reader033.vdocuments.site/reader033/viewer/2022041817/5e5b58841fc04b542a190332/html5/thumbnails/22.jpg)
Conclusion
1. Lutembacher Syndrome is an uncommon clinical condition.
2. For selected individuals with favourableanatomy, a percutaneous treatment with balloon mitral valvotomy followed by ASD device closure is a treatment option.
3. The procedure is feasible using single operator with strategically placing equipment in the catheterization laboratory.